Provider Demographics
NPI:1194880682
Name:MORGAN, EUGENE BROWN JR (DDS)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:BROWN
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 SECURITY STREET
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-2757
Mailing Address - Country:US
Mailing Address - Phone:704-938-3189
Mailing Address - Fax:704-938-3190
Practice Address - Street 1:201 SECURITY STREET
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-2757
Practice Address - Country:US
Practice Address - Phone:704-938-3189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice